HEYH School of Psychiatry Conference Paul Rowlands Head of School

Introduction welcome Fire alarms

Objectives leadership quality qualities of leadership a practical approach

Who leads?.

All of us, everyone at every level, must lead There is a window right now and I don’t know whether it is three months long, three years long, it’s not ten years long and that is for the people who give the care to change the care. Don Berwick 2013 Leading Change

one fundamental: QUALITY

… and What is ‘leadership’? developing a vision? developing a vision? …and implementing? …and implementing? creating quality? creating quality? maintaining quality? maintaining quality? keeping a focus? keeping a focus? using what you have to best effect? using what you have to best effect? innovating and continually improving? innovating and continually improving?

W. Edwards Deeming Kauro Ishikawa

Build quality into the system Do not rely on inspection Do not rely on command and control Empower Take pride Do not tolerate things that are not right we work in human systems we can improve them, all of us

Quality in Healthcare How do we create ‘quality’ in healthcare? and how do we know it?

UNDERSTANDING ROOT CAUSES Ishikawa diagrams and root cause analysis Continuous Quality Improvement as the basis of improving Ownership

EFFECT SYSTEMS ENVIRONMENT And Equipment ENVIRONMENT PATIENTS PEOPLE PROCEDURES EFFECT

Determine goals and targets. Determine methods of reaching goals. Engage in education and training. Implement work. Check the effects of implementation. Take appropriate action. Edward Deeming

Characteristics of ‘Good leaders’? kindness courage credibility discipline wisdom/knowledge

Kindness Compassion is central Demonstrated through behaviour US surveys show that kindness is more valued than choice, distance to travel and cost

Courage Sometimes more data will take you nowhere - you just need to drive the drill through the mountainside but action needs a moral framework the ‘right’ thing to do and sometimes moral courage to lead the right thing

Credibility "Yes, Roger Hunt misses a few … but he gets in the right place to miss them.” Bill Shankley You must be on the pitch

Discipline structure and procedure culture initiative integrity decision making

Wisdom Wisdom comes with time and experience Hegel’s Owl: “The Owl of Minerva spreads her wings only with the gathering of the dusk”

Today is a chance to reflect, Feel supported network, and enjoy the privilege of being involved in training

with wisdom and with courage: judge us by our actions

Today Enjoy yourselves - as you should every day you come to work Link up, take pride on what you do and what you do well Problem solve Build an idea you can take back to develop your idea of yourself as a leader

Yorkshire wise owls